Evidence map›Paper›PMID 30872370›Full record

ReviewHaematologica2019

Re-evaluation of hematocrit as a determinant of thrombotic risk in erythrocytosis.

Victor R Gordeuk, Nigel S Key, Josef T Prchal

Open access · goldAbstract readReview
In one paragraph

Review in Haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 69 citations in OpenAlex.

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  19. [Analysis of related factors in secondary erythrocytosis of obstructive sleep apnea hypopnea syndrome in Gansu province].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    Article
  20. Hematocrit, White Blood Cells, and Thrombotic Events in the Veteran Population With Polycythemia Vera.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Victor R GordeukDivision of Hematology and Oncology, University of Illinois at Chicago, IL vgordeuk@uic.edu.
Nigel S KeyDivision of Hematology-Oncology and UNC Hemophilia and Thrombosis Center, UNC, Chapel Hill, NC.
Josef T PrchalDivision of Hematology and Hematologic Malignancies, University of Utah and Huntsman Cancer Center, Salt Lake City, UT, USA josef.prchal@hsc.utah.edu.
Huntsman Cancer Institute · USUniversity of Illinois Chicago · USUniversity of North Carolina at Chapel Hill · US

Funding

The Biology of VWF Self-AssociationR01HL137991 · NHLBI · BLOODWORKS · PI CHUNG, DOMINIC W. · 2017 to 2019
$2.0M
NHLBI NIH HHS R01 HL137991
6 · The paper itself

Abstract

Here we critically evaluate the role of elevated hematocrit as the principal determinant of thrombotic risk in polycythemia and erythrocytosis, defined by an expansion of red cell mass. Since red cell volume determination is no longer readily available, in clinical practice, polycythemia and erythrocytosis are defined by elevated hemoglobin and hematocrit. Thrombosis is common in Chuvash erythrocytosis and polycythemia vera. Although the increased thrombotic risk is assumed to be due to the elevated hematocrit and an associated increase in blood viscosity, thrombosis does not accompany most types of erythrocytosis. We review studies indicating that the occurrence of thrombosis in Chuvash erythrocytosis is independent of hematocrit, that the thrombotic risk is paradoxically increased by phlebotomy in Chuvash erythrocytosis, and that, when compared to chemotherapy, phlebotomy is associated with increased thrombotic risk in polycythemia vera. Inherited and environmental causes that lead to polycythemia and erythrocytosis are accompanied by diverse cellular changes that could directly affect thrombotic risk, irrespective of the elevated hematocrit. The pressing issue in these disorders is to define factors other than elevated hematocrit that determine thrombotic risk. Defining these predisposing factors in polycythemia and erythrocytosis should then lead to rational therapies and facilitate development of targeted interventions.

Indexed as

PolycythemiaThrombosisHematocritHumansPolycythemia VeraRisk Factors

Identifiers

PMID30872370
PMCPMC6442963
OpenAlexW2921469034

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.